title: Complete peripartum airway management of a large epignathus teratoma: EXIT to resection.
abstract: We present a case of a female infant that was diagnosed on prenatal ultrasound with an oral mass, and subsequently underwent a planned EXIT procedure to secure the airway. Ultimately the epignathus teratoma was excised at 3 days of age. The number of cases in which neonates have survived epignathus teratomas has increased in the past decade due to improved prenatal imaging and the development of the EXIT procedure. This case demonstrates the importance of a multidisciplinary approach that must be established when a prenatal diagnosis raises concern for airway compromise, and the thorough work-up required for definitive management.
authors.affiliation: Pediatric ENT Associates, Children's Hospitals and Clinics of Minnesota-Minneapolis, Suite 450, 2530 Chicago Ave. S., Minneapolis, MN 55404, USA; Department of Otolaryngology, University of Minnesota, MMC 396 Mayo 8396, 420 Delaware St, Minneapolis, MN 55455, USA.
authors.forename: Brianne Barnett
authors.initials: BB
authors.lastname: Roby
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Scott
authors.forename: James D
authors.initials: JD
authors.lastname: Sidman
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Lander
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Tibesar
mesh_terms: D000328:Adult; D058109:Airway Management / Q000379:methods*; D000402:Airway Obstruction / Q000209:etiology / Q000517:prevention & control; D002585:Cesarean Section; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007828:Laryngoscopy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D009959:Oropharyngeal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D058725:Peripartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000601:surgery*; D035583:Rare Diseases; D018570:Risk Assessment; D013724:Teratoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography